BCLA CLEAR presbyopia: Mechanism and optics

Leon N. Davies, Sayantan Biswas, Mark Bullimore, Fiona Cruickshank, Jose J. Estevez, Safal Khanal, Pete Kollbaum, Remy Marcotte-Collard, Giancarlo Montani, Sotiris Plainis, Kathryn Richdale, Patrick Simard, James S. Wolffsohn

Research output: Contribution to journalArticlepeer-review

Abstract

With over a billion adults worldwide currently affected, presbyopia remains a ubiquitous, global problem. Despite over a century of study, the precise mechanism of ocular accommodation and presbyopia progression remains a topic of debate. Accordingly, this narrative review outlines the lenticular and extralenticular components of accommodation together with the impact of age on the accommodative apparatus, neural control of accommodation, models of accommodation, the impact of presbyopia on retinal image quality, and both historic and contemporary theories of presbyopia.

Original languageEnglish
Article number102185
Number of pages24
JournalContact lens & anterior eye : the journal of the British Contact Lens Association
Volume47
Issue number4
Early online date24 May 2024
DOIs
Publication statusPublished - Aug 2024

Bibliographical note

Copyright © 2024 The Authors. Published by Elsevier Ltd on behalf of British Contact Lens Association. This is an open access article under the CC BY license
(https://creativecommons.org/licenses/by/4.0/).

Keywords

  • Presbyopia
  • Accomodation
  • Amplitude of accomodation
  • Depth of focus
  • Crystalline lens
  • Zonules
  • Ciliary muscle

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